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.....ti.U-w{' ¢ � � � - �-r- � • -' i <br />W. b. i� nrin J C�UO—E.P.I'o.—L.:G .l " r <br />City of Everett�Water Depai•tment <br />APPLICATI�N FOR WATER <br />All Ll:mks must 6e Ciiled in or crosard out <br />Eventt .....:....... ,�j.�.�..l.f .... ........_..1�9.._.. <br />/ <br />TO TIiP•. SUPliR1NTtiA'llR\^P nr TIIE �.5'A'PBP. DEP< 2Ti�1E\T: <br />CITY Oh' GVEI'.ETT: <br />I hereby npply for the iise ui �caler in :�ccorl;mce �eith the rules r.nd regu- <br />Intions of ihe �t'atcr llepartment, fnr purposrs nnd iix!ures stated helo�c. <br />Dm•ing thc time thnt nny of thc �vater mnins mny bc tnken up by rmsun <br />ot nnv improcemmrts aaUiorized Up the City� of I•:cerett, in or of nnp street or <br />nlley in u�hich thcy may Lr.ee Ucrn Inid, lhe City «•ill uot bc required to furnish <br />•a�ater diaring the progress of eucli int�n•oeemrnts to nnp con:umer whose supplp <br />mr.y thus bc cut otf, or 6c linbl�fy�,nny diunages for its failure so to do. <br />i <br />APplic+�tinn No.. � � ✓. . . . . . <br />� <br />BIueL• .. ..... . .... ]�. . LoL.:.� j: �. a...' � l...:. Add. ..._. ... <br />.. _. _.. _ _ .. <br />No. .��G y.......Q �_CG�.C.lvfiC.�[!l.. . '.Strcet <br />The wark to bc exrcuted by._....._... _. .. <br />Sinb sizc of tnp. <br />�iy�...-Tap to be insa:ted in thc mcin. <br />/ <br />................n'ntcr closet <br />._........._..BatL <br />................0 rinnl <br />....�.__....Plnin tnuret ineidc <br />.__....._....S;dc u•;�Ik �^nsher <br />....�.........Ho�e Uib outside <br />...._ ._..__...... <br />..._..Plumbcr <br />_ ����� <br />� ' <br />��� <br />....__....._Hnsc Uib for building p�irpoci•; <br />...__..._._ flose Uib inside - �%�� ��f <br />._ .............Bib for stnble containing....................slnll....................1 � � i, <br />................\umbcr of persons in fmnilp � <br />.. �... NumUer of rooms in 6vilding . <br />..... / <br />� T ie premises nre to be used ns a. �_. .. .... l!C�E��/.C:.2—.___._.. <br />The o�cner of the pre�er'ses is..� .....�c��.�t�C..t�C.�1/��s.� <br />Thcsgent is....._ ................................................_�......_ _.............................................. <br />This application, although signed, shall not hc binding npon tl�e Cily, until <br />n�^��,���d bc the Superinten<ient o[ thc \1'n:cr Depnrtment. <br />�.gned.. ... �.r�`':'.'✓C� ...� . ._..... .. �Anpl'icnnt / <br />'�. y �.r . . � <br />' :_ '. i/ ...,�.¢ 83......f� Q,,.l,�.�;;�� / <br />, � , . �., _ . . .,...... .. . � <br />. . �apc ntendent <br />_ / <br />